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Organization
ALPHA SURGERY CENTER
Active
Organization
ALPHA SURGERY CENTER
Active
Other names
Alpha Surgery Suite, Alpa Surgery Suite
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHISH SUD DC (OWNER)
(630) 854-0899
Entity
Organization
Contact information
Practice address
3253 S HARLEM AVE STE 5, BERWYN, IL 60402-2996
(708) 788-3880
(708) 788-4757
Mailing address
3253 S HARLEM AVE STE 5, BERWYN, IL 60402-2996
(630) 854-0899
(708) 788-4757
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038010456
STATE LICENSE
IL
Enumeration date
02/28/2024
Last updated
02/28/2024
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